On-line or Printable Gift Form

You can make a gift or pledge to Piedmont College by filling out the following form. If you wish to make an on-line gift, check the appropriate box at the end of the form. If you wish to make a gift by mail, fill out this form and click on the appropriate box to print the form. You can then mail the form with your check, cash or credit card information to:

Office of Institutional Advancement
Piedmont College
P.O. Box 429
Demorest  GA 30535

Yes, I wish to support Piedmont College with a gift. The allocation is as follows:

Fund for Piedmont

Unrestricted Support	$
Student Financial Aid	$
Library Holdings	$
Named Scholarships	$
Designation
Other	$
Designation
TOTAL

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Does this gift count toward an existing pledge?
Yes No
    If Yes, designation,

I wish my gift to remain anonymous.
Yes No

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Title	Choose Mrs. Mr. Miss Ms. Dr. Rev.
First Name
Middle Name
Last Name
Birth/Maiden Name
Address
City
State
Zip
Home Phone
E-mail address
Piedmont Class Year
Spouse's Name
Spouse an Alum?	Yes No
Name as you wish it to appear for donor recognition.

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I will mail my company's matching gift form to:
            Nancy Singer
            Piedmont College
            P.O. Box 429
            Demorest GA 30535

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If this gift is in honor or memory of someone, please fill out this part of the form.

Honor	Memory
Name of Individual(s)
Relationship

Would you like for Piedmont to notify the honoree or family of the above gift?
Yes No   
If yes, please complete the following

Name of Individual(s)
Address
City
State
Zip